Facilitators and barriers to support group participation for family caregivers of adults with mental illness
Few low-income and minority caregivers of persons with serious mental illness participate in support groups. This study examined the facilitators and barriers to participation in support groups for families of persons with serious mental illness among lower socioeconomic African-American and Caucasi...
Gespeichert in:
Veröffentlicht in: | Community mental health journal 2004-04, Vol.40 (2), p.151-166 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 166 |
---|---|
container_issue | 2 |
container_start_page | 151 |
container_title | Community mental health journal |
container_volume | 40 |
creator | BIEGEL, David E SHAFRAN, Robert D JOHNSEN, Jeffrey A |
description | Few low-income and minority caregivers of persons with serious mental illness participate in support groups. This study examined the facilitators and barriers to participation in support groups for families of persons with serious mental illness among lower socioeconomic African-American and Caucasian family caregivers. Three hypotheses were tested in a multivariate model which included need, enabling and predisposing variables utilizing a revised version of the Andersen model. Support group membership was hypothesized to be predicted by a higher perceived cost-benefit ratio (benefits minus costs) of group participation, fewer numbers of access barriers and higher levels of service use.
A non-experimental cross-sectional design was used. Subjects were 145 lower socioeconomic status African-American and Caucasian family caregivers, 65 of whom were current support group members and 80 of whom had never participated in support groups.
Findings confirmed that support group members reported a more favorable cost-benefit ratio and fewer access barriers than did non-support group members, controlling for other variables. Level of non-support group service use was not significantly different for support and non-support group members.
Non-members' assessments of support group participation may be based on inaccurate perceptions and/or incomplete knowledge. Educational campaigns, sponsored by support groups and mental health authorities focusing on both perceptions about support groups as well as structural impediments to participation, such as access barriers, should be undertaken. |
doi_str_mv | 10.1023/B:COMH.0000022734.79135.de |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66652371</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66652371</sourcerecordid><originalsourceid>FETCH-LOGICAL-c403t-f172deececb5405ca122718d9cf5dd445aece135b525b6b4273d8ad5a29baf3a3</originalsourceid><addsrcrecordid>eNqFkUtv1TAQhS0EopfCX0BWJdjl4kccJ93RK0qRirqBtTXxo7hy4mA7Rf33OPRKRWzwZmT5OzM-cxA6o2RPCeMfLs4PN1-v9mQ7jEne7uVAudgb-wztqJC8YbIfnqMdIZQ0vBf8BL3K-a7iglL5Ep1QwUjX8WGHwiVoH3yBElPGMBs8Qkre1kuJOK_LElPBtymuC14gFa_9AsXHGbuYsIPJhwesIdlbf7-JosNg1lAy_uXLDzzZuUDAPoTZ5vwavXAQsn1zrKfo--Wnb4er5vrm85fDx-tGt4SXxlHJjLXa6lG0RGig1SXtzaCdMKZtBdS3angUTIzd2NYVmB6MADaM4DjwU_T-se-S4s_V5qImn7UNAWYb16y6rhOMS_pfUEhSf9TyCp79A97FNc3VhGKs56Tt2Nbt_BHSKeacrFNL8hOkB0WJ2pJTF2pLTj0lp_4kp4yt4rfHCes4WfMkPUZVgXdHALKG4BLM2ue_ONkNRDL-G04RpKg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>228304621</pqid></control><display><type>article</type><title>Facilitators and barriers to support group participation for family caregivers of adults with mental illness</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>BIEGEL, David E ; SHAFRAN, Robert D ; JOHNSEN, Jeffrey A</creator><creatorcontrib>BIEGEL, David E ; SHAFRAN, Robert D ; JOHNSEN, Jeffrey A</creatorcontrib><description>Few low-income and minority caregivers of persons with serious mental illness participate in support groups. This study examined the facilitators and barriers to participation in support groups for families of persons with serious mental illness among lower socioeconomic African-American and Caucasian family caregivers. Three hypotheses were tested in a multivariate model which included need, enabling and predisposing variables utilizing a revised version of the Andersen model. Support group membership was hypothesized to be predicted by a higher perceived cost-benefit ratio (benefits minus costs) of group participation, fewer numbers of access barriers and higher levels of service use.
A non-experimental cross-sectional design was used. Subjects were 145 lower socioeconomic status African-American and Caucasian family caregivers, 65 of whom were current support group members and 80 of whom had never participated in support groups.
Findings confirmed that support group members reported a more favorable cost-benefit ratio and fewer access barriers than did non-support group members, controlling for other variables. Level of non-support group service use was not significantly different for support and non-support group members.
Non-members' assessments of support group participation may be based on inaccurate perceptions and/or incomplete knowledge. Educational campaigns, sponsored by support groups and mental health authorities focusing on both perceptions about support groups as well as structural impediments to participation, such as access barriers, should be undertaken.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1023/B:COMH.0000022734.79135.de</identifier><identifier>PMID: 15206639</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; African Americans ; Aged ; Aged, 80 and over ; Barriers ; Biological and medical sciences ; Caregivers ; Caregivers - statistics & numerical data ; Carers ; Communication Barriers ; Community Participation - economics ; Community Participation - statistics & numerical data ; Coping ; Cost-Benefit Analysis ; Costs ; Cross-Sectional Studies ; Facilitators ; Families ; Families & family life ; Family environment. Family history ; Female ; Humans ; Hypotheses ; Male ; Medical personnel ; Medical sciences ; Mental disorders ; Mental Disorders - economics ; Mental Disorders - therapy ; Mental health ; Mental health care ; Mentally ill people ; Middle Aged ; Participation ; Perceptions ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Self-Help Groups ; Social Facilitation ; Social psychiatry. Ethnopsychiatry ; Social services ; Social support ; Socioeconomic Factors ; Socioeconomic status ; Support groups ; Surveys and Questionnaires ; USA ; Variables ; White people</subject><ispartof>Community mental health journal, 2004-04, Vol.40 (2), p.151-166</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Kluwer Academic Publishers Apr 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-f172deececb5405ca122718d9cf5dd445aece135b525b6b4273d8ad5a29baf3a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,12846,27344,27924,27925,30999,31000,33774</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15769072$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15206639$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BIEGEL, David E</creatorcontrib><creatorcontrib>SHAFRAN, Robert D</creatorcontrib><creatorcontrib>JOHNSEN, Jeffrey A</creatorcontrib><title>Facilitators and barriers to support group participation for family caregivers of adults with mental illness</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><description>Few low-income and minority caregivers of persons with serious mental illness participate in support groups. This study examined the facilitators and barriers to participation in support groups for families of persons with serious mental illness among lower socioeconomic African-American and Caucasian family caregivers. Three hypotheses were tested in a multivariate model which included need, enabling and predisposing variables utilizing a revised version of the Andersen model. Support group membership was hypothesized to be predicted by a higher perceived cost-benefit ratio (benefits minus costs) of group participation, fewer numbers of access barriers and higher levels of service use.
A non-experimental cross-sectional design was used. Subjects were 145 lower socioeconomic status African-American and Caucasian family caregivers, 65 of whom were current support group members and 80 of whom had never participated in support groups.
Findings confirmed that support group members reported a more favorable cost-benefit ratio and fewer access barriers than did non-support group members, controlling for other variables. Level of non-support group service use was not significantly different for support and non-support group members.
Non-members' assessments of support group participation may be based on inaccurate perceptions and/or incomplete knowledge. Educational campaigns, sponsored by support groups and mental health authorities focusing on both perceptions about support groups as well as structural impediments to participation, such as access barriers, should be undertaken.</description><subject>Adult</subject><subject>African Americans</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Barriers</subject><subject>Biological and medical sciences</subject><subject>Caregivers</subject><subject>Caregivers - statistics & numerical data</subject><subject>Carers</subject><subject>Communication Barriers</subject><subject>Community Participation - economics</subject><subject>Community Participation - statistics & numerical data</subject><subject>Coping</subject><subject>Cost-Benefit Analysis</subject><subject>Costs</subject><subject>Cross-Sectional Studies</subject><subject>Facilitators</subject><subject>Families</subject><subject>Families & family life</subject><subject>Family environment. Family history</subject><subject>Female</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - economics</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mentally ill people</subject><subject>Middle Aged</subject><subject>Participation</subject><subject>Perceptions</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Self-Help Groups</subject><subject>Social Facilitation</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Social services</subject><subject>Social support</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Support groups</subject><subject>Surveys and Questionnaires</subject><subject>USA</subject><subject>Variables</subject><subject>White people</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUtv1TAQhS0EopfCX0BWJdjl4kccJ93RK0qRirqBtTXxo7hy4mA7Rf33OPRKRWzwZmT5OzM-cxA6o2RPCeMfLs4PN1-v9mQ7jEne7uVAudgb-wztqJC8YbIfnqMdIZQ0vBf8BL3K-a7iglL5Ep1QwUjX8WGHwiVoH3yBElPGMBs8Qkre1kuJOK_LElPBtymuC14gFa_9AsXHGbuYsIPJhwesIdlbf7-JosNg1lAy_uXLDzzZuUDAPoTZ5vwavXAQsn1zrKfo--Wnb4er5vrm85fDx-tGt4SXxlHJjLXa6lG0RGig1SXtzaCdMKZtBdS3angUTIzd2NYVmB6MADaM4DjwU_T-se-S4s_V5qImn7UNAWYb16y6rhOMS_pfUEhSf9TyCp79A97FNc3VhGKs56Tt2Nbt_BHSKeacrFNL8hOkB0WJ2pJTF2pLTj0lp_4kp4yt4rfHCes4WfMkPUZVgXdHALKG4BLM2ue_ONkNRDL-G04RpKg</recordid><startdate>20040401</startdate><enddate>20040401</enddate><creator>BIEGEL, David E</creator><creator>SHAFRAN, Robert D</creator><creator>JOHNSEN, Jeffrey A</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20040401</creationdate><title>Facilitators and barriers to support group participation for family caregivers of adults with mental illness</title><author>BIEGEL, David E ; SHAFRAN, Robert D ; JOHNSEN, Jeffrey A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-f172deececb5405ca122718d9cf5dd445aece135b525b6b4273d8ad5a29baf3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Barriers</topic><topic>Biological and medical sciences</topic><topic>Caregivers</topic><topic>Caregivers - statistics & numerical data</topic><topic>Carers</topic><topic>Communication Barriers</topic><topic>Community Participation - economics</topic><topic>Community Participation - statistics & numerical data</topic><topic>Coping</topic><topic>Cost-Benefit Analysis</topic><topic>Costs</topic><topic>Cross-Sectional Studies</topic><topic>Facilitators</topic><topic>Families</topic><topic>Families & family life</topic><topic>Family environment. Family history</topic><topic>Female</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mental Disorders - economics</topic><topic>Mental Disorders - therapy</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mentally ill people</topic><topic>Middle Aged</topic><topic>Participation</topic><topic>Perceptions</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Self-Help Groups</topic><topic>Social Facilitation</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Social services</topic><topic>Social support</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Support groups</topic><topic>Surveys and Questionnaires</topic><topic>USA</topic><topic>Variables</topic><topic>White people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BIEGEL, David E</creatorcontrib><creatorcontrib>SHAFRAN, Robert D</creatorcontrib><creatorcontrib>JOHNSEN, Jeffrey A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Social Services Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BIEGEL, David E</au><au>SHAFRAN, Robert D</au><au>JOHNSEN, Jeffrey A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Facilitators and barriers to support group participation for family caregivers of adults with mental illness</atitle><jtitle>Community mental health journal</jtitle><addtitle>Community Ment Health J</addtitle><date>2004-04-01</date><risdate>2004</risdate><volume>40</volume><issue>2</issue><spage>151</spage><epage>166</epage><pages>151-166</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>Few low-income and minority caregivers of persons with serious mental illness participate in support groups. This study examined the facilitators and barriers to participation in support groups for families of persons with serious mental illness among lower socioeconomic African-American and Caucasian family caregivers. Three hypotheses were tested in a multivariate model which included need, enabling and predisposing variables utilizing a revised version of the Andersen model. Support group membership was hypothesized to be predicted by a higher perceived cost-benefit ratio (benefits minus costs) of group participation, fewer numbers of access barriers and higher levels of service use.
A non-experimental cross-sectional design was used. Subjects were 145 lower socioeconomic status African-American and Caucasian family caregivers, 65 of whom were current support group members and 80 of whom had never participated in support groups.
Findings confirmed that support group members reported a more favorable cost-benefit ratio and fewer access barriers than did non-support group members, controlling for other variables. Level of non-support group service use was not significantly different for support and non-support group members.
Non-members' assessments of support group participation may be based on inaccurate perceptions and/or incomplete knowledge. Educational campaigns, sponsored by support groups and mental health authorities focusing on both perceptions about support groups as well as structural impediments to participation, such as access barriers, should be undertaken.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>15206639</pmid><doi>10.1023/B:COMH.0000022734.79135.de</doi><tpages>16</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0010-3853 |
ispartof | Community mental health journal, 2004-04, Vol.40 (2), p.151-166 |
issn | 0010-3853 1573-2789 |
language | eng |
recordid | cdi_proquest_miscellaneous_66652371 |
source | MEDLINE; SpringerNature Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
subjects | Adult African Americans Aged Aged, 80 and over Barriers Biological and medical sciences Caregivers Caregivers - statistics & numerical data Carers Communication Barriers Community Participation - economics Community Participation - statistics & numerical data Coping Cost-Benefit Analysis Costs Cross-Sectional Studies Facilitators Families Families & family life Family environment. Family history Female Humans Hypotheses Male Medical personnel Medical sciences Mental disorders Mental Disorders - economics Mental Disorders - therapy Mental health Mental health care Mentally ill people Middle Aged Participation Perceptions Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Self-Help Groups Social Facilitation Social psychiatry. Ethnopsychiatry Social services Social support Socioeconomic Factors Socioeconomic status Support groups Surveys and Questionnaires USA Variables White people |
title | Facilitators and barriers to support group participation for family caregivers of adults with mental illness |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T17%3A16%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Facilitators%20and%20barriers%20to%20support%20group%20participation%20for%20family%20caregivers%20of%20adults%20with%20mental%20illness&rft.jtitle=Community%20mental%20health%20journal&rft.au=BIEGEL,%20David%20E&rft.date=2004-04-01&rft.volume=40&rft.issue=2&rft.spage=151&rft.epage=166&rft.pages=151-166&rft.issn=0010-3853&rft.eissn=1573-2789&rft.coden=CMHJAY&rft_id=info:doi/10.1023/B:COMH.0000022734.79135.de&rft_dat=%3Cproquest_cross%3E66652371%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=228304621&rft_id=info:pmid/15206639&rfr_iscdi=true |